09/02/2021 | Press release | Distributed by Public on 09/02/2021 15:49
| | The exchange offers will expire at 5:00 p.m., New York City time, on , 2021, unless we extend the offer. Tenders may be withdrawn at any time prior to the expiration of the exchange offers. | | |
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DESCRIPTION OF OUTSTANDING NOTES TENDERED HEREWITH
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Name(s) and Address(es) of Record Holder(s) or Name of DTC Participant
and Participant's DTC Account Number in which Notes are Held (Please fill in, if blank) |
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Certificate
Number(s)* |
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Aggregate
Principal Amount Represented |
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Principal Amount
Tendered** |
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| | | | | | Total Principal Amount: | | | | | | | ||||
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*
Need not be completed if Outstanding Notes are being tendered by book-entry transfer.
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**
Unless otherwise indicated in this column, a holder will be deemed to have tendered the full aggregate principal amount of the Outstanding Notes represented by the Outstanding Notes indicated in the second column. See Instruction 4. Outstanding Notes tendered hereby must be in denominations of $2,000 and any integral multiple of $1,000 in excess thereof.
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☐
CHECK HERE IF CERTIFICATES REPRESENTING TENDERED OUTSTANDING NOTES ARE ENCLOSED HEREWITH.
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☐
CHECK HERE IF TENDERED OUTSTANDING NOTES ARE BEING DELIVERED BY BOOK-ENTRY TRANSFER MADE TO THE ACCOUNT MAINTAINED BY THE DEPOSITARY WITH DTC AND COMPLETE THE FOLLOWING:
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Name of Tendering Institution
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DTC Account Number
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Transaction Code Number
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Date Tendered
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☐
CHECK HERE AND ENCLOSE A PHOTOCOPY OF THE NOTICE OF GUARANTEED DELIVERY IF TENDERED OUTSTANDING NOTES ARE BEING DELIVERED PURSUANT TO A NOTICE OF GUARANTEED DELIVERY PREVIOUSLY SENT TO THE EXCHANGE AGENT AND COMPLETE THE FOLLOWING (SEE INSTRUCTION 1):
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Name(s) of Registered Holder(s)
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Window Ticket Number (if any)
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Date of Execution of Notice of Guaranteed Delivery
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Name of Eligible Institution which Guaranteed Delivery
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If Guaranteed Delivery is to be Made by Book-Entry Transfer:
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Name of Tendering Institution
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DTC Account Number
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Transaction Code Number
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☐
CHECK HERE IF YOU ARE A BROKER-DEALER AND WISH TO RECEIVE 10 ADDITIONAL COPIES OF THE PROSPECTUS AND 10 COPIES OF ANY AMENDMENTS OR SUPPLEMENTS THERETO.*
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Name
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Address
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* You are entitled to as many copies as you reasonably believe necessary. If you require more than 10 copies, please indicate the total number required in the following space: .
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PLEASE SIGN HERE
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(Please Complete Substitute Form W-9 on Page 14 or a Form W-8; See Instruction 10)
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| | Signature(s) of Holder(s) | | |
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Date:
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| | (Must be signed by the registered holder(s) exactly as name(s) appear(s) on certificate(s) for the Outstanding Notes tendered or on a security position listing or by person(s) authorized to become the registered holder(s) by certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, officer of a corporation or other person acting in a fiduciary or representative capacity, please provide the following information and see Instruction 6.) | | |
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Name(s):
(Please Print)
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Capacity (full title):
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Address:
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Area Code and Telephone No.:
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Taxpayer Identification Number:
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GUARANTEE OF SIGNATURE(S)
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(Only If Required - See Instruction 2)
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Authorized Signature:
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Name:
(Please Print)
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Title:
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Name of Firm:
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Address:
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Area Code and Telephone No.:
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Date:
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SPECIAL ISSUANCE INSTRUCTIONS
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| | (Signature Guarantee Required - See Instructions 2, 7 and 14) | | |
| | TO BE COMPLETED ONLY if Exchange Notes or Outstanding Notes not tendered or not accepted are to be issued in the name of someone other than the registered holder(s) of the Outstanding Notes whose signature(s) appear(s) above, or if Outstanding Notes delivered by book-entry transfer and not accepted for exchange are to be returned for credit to an account maintained at DTC other than the account indicated above. | | |
| | Issue (check appropriate box(es)) | | |
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Outstanding Notes to:
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☐
Exchange Notes to:
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Name
(Please Print)
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Address
(Zip Code)
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Taxpayer Identification
No.
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SPECIAL DELIVERY INSTRUCTIONS
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(Signature Guarantee Required - See Instructions 2, 7 and 14)
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| | TO BE COMPLETED ONLY if Exchange Notes or Outstanding Notes not tendered or not accepted are to be sent to someone other than the registered holder(s) of the Outstanding Notes whose signature(s) appear(s) above, or to such registered holder at an address other than that shown above. | | |
| | Deliver (check appropriate box(es)) | | |
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☐
Outstanding Notes to:
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☐
Exchange Notes to:
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Name
(Please Print)
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Address
(Zip Code)
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Substitute Form W-9 Payer's Request for Taxpayer Identification Number (TIN)
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| | Part 1 - PLEASE PROVIDE YOUR TIN IN THE APPROPRIATE SPACE TO THE RIGHT AND CERTIFY BY SIGNING AND DATING BELOW | | | |
Social security number or
/ /
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Payee's Name and Address:
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Employer identification number
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| | Part 2 - Certification - Under penalties of perjury, I certify that: | | | ||||
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(1)
The number shown on this form is my correct Taxpayer Identification Number (or I am waiting for a number to be issued to me), and
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(2)
I am not subject to backup withholding because (i) I am exempt from backup withholding, (ii) I have not been notified by the Internal Revenue Service, or the IRS, that I am subject to backup withholding as a result of failure to report all interest or dividends, or (iii) the IRS has notified me that I am no longer subject to backup withholding, and
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(3)
I am a U.S. person (including a U.S. resident alien).
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| | Certificate Instructions - You must cross out item (2) in Part 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. However, if after being notified by the IRS that you are subject to backup withholding you received a notification from the IRS stating that you are no longer subject to backup withholding, do not cross out item (2). | | | ||||
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Signature Date
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Date
(include year)
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Name (Please Print)
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| | Part 3 - Awaiting TIN ☐ | | | | Part 4 - Exempt from backup withholding ☐ | | |
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Signature
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Date
(include year)
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Name (Please Print)
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For this type of account:
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Give the NAME and SOCIAL SECURITY NUMBER or EMPLOYER IDENTIFICATION NUMBER of - |
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For this type of account:
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Give the NAME And EMPLOYER IDENTIFICATION NUMBER of - |
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1.
Individual
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| | The individual | | |
6.
A valid trust, estate, or pension trust
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| | Legal entity(4) | |
2.
Two or more individuals (joint account)
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| | The actual owner of the account or, if combined funds, the first individual on the account(1) | | |
7.
Corporation or LLC electing corporate status on Form 8832
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| | The corporation | |
3.
Custodian account of a minor(Uniform Gift to Minors Act)
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| | The minor(2) | | |
8.
Association, club, religious, charitable, educational or other tax-exempt organization
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| | The organization | |
4. a.
The usual revocable savings trust (grantor is also trustee)
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| | The grantor-trustee(1) | | |
9.
Partnership or multi-member LLC
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| | The partnership or LLC | |
b.
The so-called trust account that is not a legal or valid trust under State law
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| | The actual owner(1) | | | | | | | |
5.
Sole proprietorship or single-owner LLC
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| | The owner(3) | | |
10.
A broker or registered nominee
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| | The broker or nominee | |
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